Father’s Name*

Start Date Start Date would be the Execution Date.

I wish to nominate I do not wish to nominate

Relationship

Relationship

V3.0/PPF Form/18-01-2018

FORM 60
Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent account number and who
enters into any transaction specified in rule 114B
If applied for PAN and it is not yet generated enter date of application D D M M Y Y Y Y and acknowledgement number

If PAN not applied, fill estimated total income (including income of spouse, minor child etc. as per a Agricultural income (Rs.)
section 64 of Income-tax Act, 1961) for the financial year in which the above transaction is held b Other than Agricultural income (Rs.)
Verification
I, _______________________________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief. I further declare that I
do not have a Permanent Account Number and my/ our estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961)
computed in accordance with the provisions of Income-tax Act, 1961 for the financial year in which the above transaction is held will be less than maximum amount not
chargeable to tax. Verified today, the …………..........................……… day of ……………………20_ _
Date , Place Signature_________________________
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V3.0/PPF Form/18-01-2018